论文部分内容阅读
目的:探讨尿道套入术在治疗骨盆骨折致后尿道狭窄的疗效。方法:18例中单纯膀胱造瘘5例,行尿道会师10例,经会阴端端吻合术16例,均留有不同的后遗症,后采用尿道套入术治疗。结果:采用尿道套入术对18例复杂性后尿道狭窄的患者治疗,所有患者拔除尿管后排尿畅通,无尿失禁发生,最大尿流率均>15ml/s,15例获随访6~90个月,3例3个月内排尿变细,费力,经尿道扩张2~3次后排尿正常,性功能障碍2例。结论:尿道套入操作简单,手术成功高,且可同时处理多种合并症,是治疗复杂性后尿道狭窄较为理想的方法之一。
Objective: To investigate the efficacy of urethral catheterization in the treatment of urethral stricture caused by pelvic fracture. Methods: Eighteen cases of simple cystostomy in 5 cases, the urethra meeting in 10 cases, the end of the perineal anastomosis in 16 cases, were left with different sequelae, urethral catheterization after treatment. Results: Eighteen patients with complex posterior urethral stricture were treated by urethral catheterization. All patients underwent urinary incontinence without urinary incontinence. The maximal uroflow rate was> 15ml / s and 15 cases were followed up for 6 ~ 90 Month, 3 cases of urinary tract within 3 months thin, laborious, urinary tract expansion 2 to 3 times after normal urination, 2 cases of sexual dysfunction. Conclusion: The urethral intussusception is simple and successful in operation. It can treat multiple complications at the same time. It is one of the ideal methods to treat complicated posterior urethral stricture.